{"ref":"DC-HH-AID-03","title":"DC Medicaid Personal Care Aide Services and EPD Waiver Homemaker Services","category":"Service delivery","summary":"For an Agency enrolled with DC Medicaid: sets out the State Plan and EPD Waiver personal care aide services the Agency may provide and those it may not, who may be a paid aide, the registered nurse’s duties, the plan of care visit within 72 hours of the DHCF referral, the start of services within 24 hours of the plan, the RN visit within 48 hours of starting and at least every 60 days, reporting service failures to DHCF within three business days, and EPD Waiver homemaker services.","inShort":["For DC Medicaid personal care clients, do only the tasks the rules allow: help with daily activities, reminders for medicines, simple meals, and safety.","Do not clean areas the client does not use, shop for others, or handle the client’s money.","Report a big change in the client’s health to the RN right away in an emergency, otherwise within four hours.","Record all your time and tasks on the timesheet and in EVV.","The RN visits within 48 hours after services start and at least every 60 days after that."],"primaryCitation":"29 DCMR §5008","citations":["29 DCMR §5000.1","29 DCMR §5001.1","29 DCMR §5002.1","29 DCMR §5003.1","29 DCMR §5003.6","29 DCMR §5003.9","29 DCMR §5004.2","29 DCMR §5005.1","29 DCMR §5005.2","29 DCMR §5005.3","29 DCMR §5005.4","29 DCMR §5005.5","29 DCMR §5006.4","29 DCMR §5006.5","29 DCMR §5006.6","29 DCMR §5006.7","29 DCMR §5006.8","29 DCMR §5006.9","29 DCMR §5006.11","29 DCMR §5006.12","29 DCMR §5006.13","29 DCMR §5006.14","29 DCMR §5006.16","29 DCMR §5008.1","29 DCMR §5008.3","29 DCMR §5008.4","29 DCMR §5008.5","29 DCMR §5009.1","29 DCMR §5013.1","29 DCMR §5013.6","29 DCMR §4211.3","29 DCMR §4211.4","29 DCMR §4211.5","29 DCMR §4211.6","29 DCMR §4226.1","29 DCMR §4233.5","29 DCMR §4233.6","29 DCMR §4233.7","29 DCMR §4233.8","29 DCMR §4233.10","29 DCMR §4233.11"],"federalCitations":["42 CFR §484.80(i)"],"surveyorAsks":["Show me the PCA Service Authorization and the plan of care for this beneficiary. When did the RN visit after the referral?","When did PCA services start, and when did the RN make the first visit after that?"],"forms":[{"ref":"DC-HH-AID-03-A","title":"Personal Care Aide RN Supervisory Visit and Plan Review Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (29 DCMR §5008)","5. Eligibility, Authorization, and Referral","6. Plan of Care Visit and Starting Services","7. What PCA Services Include","8. What PCA Services Do Not Include","9. Who May Be a Paid PCA","10. Duties of the Registered Nurse","11. Registered Nurse Visits","12. Reporting Changes, Removing a PCA, and Changing Provider","13. Timesheets, Visit Verification, and Records","14. EPD Waiver Homemaker Services","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. Revision History"],"version":"1.0","sample":false,"pack":"dc-hha","state":"Washington, DC","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}